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Showing results for "fall prevention".
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  1. Influencing a culture of quality and safety through huddles. | PSNet

    psnet.ahrq.gov/issue/influencing-culture-quality-and-safety-through-huddles
    April 05, 2023 - Study Influencing a culture of quality and safety through huddles. Citation Text: McCain N, Ferguson T, Barry Hultquist T, et al. Influencing a culture of quality and safety through huddles. J Nurs Care Qual. 2023;38(1):26-32. doi:10.1097/ncq.0000000000000642. Copy Citation Format:…

  2. Adverse events in long-term care residents transitioning from hospital back to nursing home. | PSNet

    psnet.ahrq.gov/issue/adverse-events-long-term-care-residents-transitioning-hospital-back-nursing-home
    April 28, 2021 - Study Adverse events in long-term care residents transitioning from hospital back to nursing home. Citation Text: Kapoor A, Field T, Handler S, et al. Adverse Events in Long-term Care Residents Transitioning From Hospital Back to Nursing Home. JAMA Intern Med. 2019;179(9):1254-1261. doi:…

  3. Death by suicide within 1 week of hospital discharge: a retrospective study of root cause analysis reports. | PSNet

    psnet.ahrq.gov/issue/death-suicide-within-1-week-hospital-discharge-retrospective-study-root-cause-analysis
    May 04, 2022 - Study Death by suicide within 1 week of hospital discharge: a retrospective study of root cause analysis reports. Citation Text: Riblet N, Shiner B, Watts B, et al. Death by Suicide Within 1 Week of Hospital Discharge: A Retrospective Study of Root Cause Analysis Reports. J Nerv Ment Dis…

  4. Effects of teamwork training on adverse outcomes and process of care in labor and delivery: a randomized controlled trial. | PSNet

    psnet.ahrq.gov/issue/effects-teamwork-training-adverse-outcomes-and-process-care-labor-and-delivery-randomized
    January 10, 2017 - April 22, 2013 A randomized trial of a multifactorial strategy to prevent serious fall

  5. The Medication Metronome Project - 2012 | Digital Healthcare Research

    digital.ahrq.gov/ahrq-funded-projects/medication-metronome-project/annual-summary/2012
    January 01, 2012 - The Medication Metronome Project - 2012 Project Name The Medication Metronome Project Principal Investigator Atlas, Steven J. Organization Massachusetts General Hospital Funding Mechanism PAR: HS08-270: Utilizing Health Information Technology to Improve Health Care …

  6. Diagnostic errors by medical students: results of a prospective qualitative study. | PSNet

    psnet.ahrq.gov/issue/diagnostic-errors-medical-students-results-prospective-qualitative-study
    May 18, 2022 - Study Diagnostic errors by medical students: results of a prospective qualitative study. Citation Text: Braun LT, Zwaan L, Kiesewetter J, et al. Diagnostic errors by medical students: results of a prospective qualitative study. BMC Med Educ. 2017;17(1):191. doi:10.1186/s12909-017-1044-7.…

  7. Measuring and Responding to Deaths From Medical Errors | PSNet

    psnet.ahrq.gov/perspective/measuring-and-responding-deaths-medical-errors
    April 01, 2008 - Annual Perspective Measuring and Responding to Deaths From Medical Errors Sumant Ranji, MD | March 22, 2016  View more articles from the same authors. Citation Text: Ranji SR. Measuring and Responding to Deaths From Medical Errors. PSNet [internet]. Rockville…

  8. Create a Safe Medicine List Together (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/medicinelist-slides-508.pdf
    June 02, 2025 - taken as prescribed Presenter Presentation Notes According to the Centers for Disease Control and Prevention … Martin – 63-year-old female following up after reconstructive surgery for fractured skull from a fall

  9. Health Equity | Agency for Healthcare Research and Quality

    www.ahrq.gov/ncepcr/reports/2024-annual-report/recent-grants-health-equity.html
    May 01, 2024 - Using Integrated Social and Medical Risk Data Dashboards To Improve Chronic Disease Management and Prevention … References The Centers for Disease Control and Prevention (CDC) defines health equity

  10. How are CHIPRA Quality Demonstration States encouraging health care providers to put quality measures to work? | Agency for Healthcare Research and Quality

    www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/highlight05.html
    November 01, 2013 - Measures in the Child Core Set cover a range of health domains, including prevention and health promotion

  11. In Conversation with Lucy Savitz about Learning Health Systems for Patient Safety | PSNet

    psnet.ahrq.gov/perspective/conversation-lucy-savitz-about-learning-health-systems-patient-safety
    February 26, 2025 - In Conversation with Lucy Savitz about Learning Health Systems for Patient Safety Lucy A. Savitz, MBA, PhD; Zoe Sousane, BS; Sarah E. Mossburg, RN, PhD | February 26, 2025  Also Read the Essay View more articles from the same authors. Citation Text: Savitz LA, S…

  12. Learning Health Systems for Patient Safety | PSNet

    psnet.ahrq.gov/perspective/learning-health-systems-patient-safety
    February 26, 2025 - Learning Health Systems for Patient Safety Lucy A. Savitz, MBA, PhD; Zoe Sousane, BS; Sarah E. Mossburg, RN, PhD | February 26, 2025  Also Read the Conversation View more articles from the same authors. Citation Text: Savitz LA, Sousane Z, Mossburg SE. Learning …

  13. Crosscutting Hi Impact (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/crosscutting_hi_impact.pdf
    January 01, 2012 - prevention design such as nonskid floor surfaces, extra handrails, more aisle lighting, bedside commodes … If the onus of improving patient adherence does fall on the provider, staffing levels might change, … support rural primary care providers in developing knowledge about diseases that would typically fall … prevention measures such as nonskid floor surfaces, handrails, aisle lighting, and bedside commodes … can increase the risk of incorrect or missed diagnoses. 35 Furthermore, in an effort to reduce fall

  14. Paul Tedrick (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/mindfulness-transcript.doc
    June 10, 2014 - Arjun Srinivasan is the Associate Director for Healthcare-Associated Infection Prevention Programs in … the Division of Healthcare Quality Promotion at the Centers for Disease Control and Prevention, and … But I think this is an incredibly important topic for all of you who were so focused on CAUTI prevention … And so, if patients are being treated may days too long, that may not fall under the purview of the stewardship … A lot of what is being asked with respect to documentation, quality, fall risk, urinary catheter appropriateness

  15. Leveraging Existing Assessments of Risk Now (LEARN) Safety Analysis: A Method for Extending Patient Safety Learning (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-woods_79.pdf
    May 30, 2008 - Medication error prevention “toolbox.” Medication safety alert. June 2, 1999.

  16. Module 1: Using the Comprehensive Long-Term Care Safety Modules: Applying Safety Principles: Facilitator Notes | Agency for Healthcare Research and Quality

    www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/long-term-modules/module1/mod1-facguide.html
    March 01, 2017 - Slide 4: Why Is Infection Prevention Important? … Say: Why is infection prevention and quality improvement important? … PLAY VIDEO: Video 2.1: Importance of Infection Prevention Ask: Why is infection prevention important … in America's Nursing Homes campaign and the Centers for Disease Control and Prevention's infection prevention

  17. 043-Vap-Prevention-Notes (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/043-vap-prevention-notes.docx
    October 01, 2024 - AHRQ Safety Program for MRSA Prevention Prevention of Ventilator-Associated Pneumonia & Non-Ventilator … Healthcare-Associated Pneumonia ICU & Non-ICU Slide Title and Commentary Slide Number and Slide Prevention … While NV-HAP is not device related, there are common infection prevention themes for both VAP and NV-HAP … Some prevention strategies will be discussed later in this presentation. … No. 25-0007 October 2024 | 1 VAP & NV-HAP Prevention AHRQ Safety Program for MRSA Prevention | ICU

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49529/psn-pdf
    February 01, 2007 - Implications for prevention. ADE Prevention Study Group. JAMA. 1995;274:29-34. [go to PubMed] 7.

  19. Racial Misclassification and Disparities in Mortality among AI/AN and Other Races, Washington

    hcup-us.ahrq.gov/datainnovations/raceethnicitytoolkit/or26.jsp
    August 01, 2014 - (slides 17-20) As mentioned earlier, Injury Prevention has become a main public health focus for Indian … Country as a significant disparity exists and this is an area where prevention is truly possible, as … For example, NPAIHB has an injury prevention program which has created an action plan specific to the … Our THRIVE program is a suicide prevention program focusing on training community members and building … Bridget Canniff, Injury Prevention Program director Washington DOH Center for Health Statistics Urban

  20. Johns Hopkins University, Baltimore | Agency for Healthcare Research and Quality

    www.ahrq.gov/funding/training-grants/grants/active/t32/T32-jhu1.html
    October 01, 2014 - The application deadline is December 1st of each year for the class entering in the Fall of the following
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